NPI Code Detail JSON Logo

1104362342 NPI number — ANGELA LINK P.T.

NPI Number: 1104362342
Health Care Provider/Practitioner: ANGELA LINK P.T.

Information about “1104362342” NPI (ANGELA LINK P.T.) exists in 1104362342 in HTML format HTML  |  1104362342 in plain Text format TXT  |  1104362342 in PDF (Portable Document Format) PDF  |  1104362342 in an XML format XML  formats.

NPI Number : 1104362342 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1104362342",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "LINK",
    "FirstName": "ANGELA",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "P.T.",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3901 UNIVERSITY BLVD S",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "JACKSONVILLE",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "32216-4312",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "904-345-7336",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "820 COMMED BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ORANGE CITY",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "32763-8321",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "386-775-7488",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/11/2017",
    "LastUpdateDate": "01/11/2017",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "PT30273",
        "LicenseNumberStateCode": "FL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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